Obstructive Sleep Apnea as a Determinant of Impaired Health-Related Quality of Life Among Hypertensive Patients in Morocco
摘要
High blood pressure is a common chronic disease that significantly affects the quality of life of those impacted. This study aims to evaluate the quality of life among patients with hypertension in primary healthcare settings, with particular focus on identifying obstructive sleep apnea as a key determinant, along with other associated factors.
MethodsThis cross-sectional study included 815 participants attending primary healthcare services in Marrakech City. Quality of life was assessed using the SF-36 questionnaire. Multiple linear regression analysis was performed to identify factors associated with quality of life.
ResultsThe analysis revealed that hypertensive individuals had a significantly lower mean SF-36 score compared to normotensive subjects (43.04 ± 17.63 vs. 60.88 ± 17.71), indicating a notable decline in their quality of life. In this context, obstructive sleep apnea (β = − 0.25; 95% CI [− 14.19; − 0.98], p = 0.02) was identified as a primary determinant of reduced quality of life. Other significant factors included osteoarthritis (β = − 0.22; 95% CI [− 14.93; − 1.48], p = 0.01) and living without a spouse (β = − 0.17; 95% CI [− 13.50; − 0.042], p = 0.04).
ConclusionOur study demonstrated that high blood pressure negatively impacts various domains of quality of life. Therefore, we recommend integrating quality of life and sleep apnea assessments into the follow-up care of hypertensive patients to provide a holistic view of their health, identify impairments, and manage disabilities associated with the disease.